Individual
DANIEL J DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
908 N ELM ST, SUITE 310, HINSDALE, IL 60521-3625
(630) 325-3310
(630) 325-9163
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 325-3310
(630) 325-9163
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036067860
IL
Other
Enumeration date
08/12/2005
Last updated
08/15/2012
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